| Dr Luis Felipe Cordero, MD | |
|
2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 | |
| (904) 797-5740 | |
| (904) 797-5741 |
| Full Name | Dr Luis Felipe Cordero |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 10 Years |
| Location | 2460 Old Moultrie Rd Ste 5, St Augustine, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922204478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14263 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN1274 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Doctors Intrastate Llc | 5395161186 | 71 |
| Entity Name | Roy H Hinman Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
| Entity Name | Island Doctors Intrastate Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Felipe Cordero, MD 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 Ph: (904) 797-5740 | Dr Luis Felipe Cordero, MD 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 Ph: (904) 797-5740 |
Ayoola Waley Olajide, MD General Practice Medicare: Medicare Enrolled Practice Location: 105 Whitehall Dr, St Augustine, FL 32086 Phone: 904-829-2782 Fax: 904-829-2494 | |
Mayralis Enamorado, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 2460 Old Moultrie Rd, St Augustine, FL 32086 Phone: 939-269-4497 | |
Mr. Jorge L Cordova - Ruiz, M.D General Practice Medicare: Medicare Enrolled Practice Location: 100 Deerfield Preserve Blvd, St Augustine, FL 32086 Phone: 904-829-0814 | |
Dr. Yesenia E Justiniano Rosario, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 6 Saint Johns Medical Park Dr, St Augustine, FL 32086 Phone: 904-823-3301 Fax: 904-823-3328 | |
Dr. Jennifer Seda Ramirez, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1851 Old Moultrie Rd, Suite A, St Augustine, FL 32084 Phone: 904-824-8088 Fax: 904-826-4105 |